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目的 探讨急诊经皮冠状动脉腔内成形 (PTCA)加支架 (Stent)术治疗急性心肌梗死 (AMI)的临床疗效及安全性。方法 对 35例急性心肌梗死施行急诊PTCA加支架术治疗进行回顾性分析。结果 35例患者中梗死相关动脉(IRA)开通 34例 ,手术成功率 97.1 % ,全部达到TIMI- 3级血流 ,残余狭窄 1 0 %～ 2 0 % ,门口 -冠脉开通时间在 1h内。无急性血管再闭塞、急诊冠脉旁路术或死亡。结论 急诊PTCA加Stent术是治疗AMI患者一个安全而有效的方法
Objective To investigate the clinical efficacy and safety of emergency percutaneous transluminal coronary angioplasty (PTCA) and stenting in the treatment of acute myocardial infarction (AMI). Methods Thirty-five patients with acute myocardial infarction undergoing emergency PTCA plus stenting were retrospectively analyzed. Results Of the 35 patients, 34 cases of infarction-related artery (IRA) were opened with a success rate of 97.1%. All achieved TIMI-3 blood flow with residual stenosis of 10% -20.0% and portal-coronary artery opening time within 1 hour. No acute vascular reocclusion, emergency coronary bypass or death. Conclusions Emergency PTCA plus Stent is a safe and effective method for the treatment of patients with AMI